Individual
BENJAMIN HERENDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
610 W MAIN ST, WILMINGTON, OH 45177-2125
(937) 382-6611
Mailing address
600 W GOODALE ST, #539, COLUMBUS, OH 43215-1597
(440) 969-5851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004350
OH
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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